Organization Active NPI

Navaneetha Brindha Natchimuthu DDS, PLLC

  • Dentist
  • Allen, TX
National Provider Identifier
1417569807
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NAVANEETHA BRINDHA NATCHIMUTHU DDS, PLLC
Practice address
880 W Exchange Parkway
Building 1, Suite 1140
Allen, TX 75013
Phone
(469) 242-9500
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Navaneetha Brindha NatchimuthuNPI 1255596532
Title
Managing Member
Phone
(972) 900-3170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

880 W Exchange Parkway
Building 1, Suite 1140
Allen, TX 75013

Mailing address

925 Lairds LN
Allen, TX 75013-5370

National Provider Directory

National Provider Directory

Locations

880 W Exchange Pkwy
Bldg A
Allen, TX 75013

880 W Exchange Pkwy
Ste 1140
Allen, TX 75013
Phone (469) 242-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1417569807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LAIRDS LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W EXCHANGE PARKWAY",
            "address_2": "BUILDING 1, SUITE 1140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-242-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVANEETHA BRINDHA NATCHIMUTHU DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "NATCHIMUTHU",
        "authorized_official_first_name": "NAVANEETHA BRINDHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-900-3170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.